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Research Participant Register

You are being invited to add your name to a register of people who are interested in being involved in research carried out at the Centre for Health Sciences Research at the University of Salford. Before you decide whether to put your name on the register, it is important for you to understand what this will involve and how your information will be used.

What is the purpose of the register?
Academics from the School of Health Sciences are always looking for people to take part in their research. This often involves people with the diseases we are studying and ‘healthy’ people. We need ‘healthy’ volunteers to compare to the patients so we can identify and understand the patients’ problems more clearly. To help us to contact potential volunteers, we have established a register of people who have expressed an interest in our work.

You have been invited because you are, or have recently taken part in a research project or have responded to an advertisement for people interested in volunteering. To be included in the register you must be aged 18 years or over and willing to provide information about yourself and your condition (if applicable) which will be held on the register.

Do I have to join the register?
No. It is entirely up to you. If you decide to join the register now you can withdraw at any time and without giving a reason.

Please read the ‘Participant Information Sheet’  for more details about registering as a volunteer.

If you would like your details to be included on the participant register, please complete the form below.


Required fields are marked with an asterisk (*).

Section 1: About you

Date of birth
Date format: dd/mm/yy

Weight converter

Height converter

Section 2: Your medical conditions

Do you suffer with any of the following medical conditions:
Please tick all that apply

Section 3: Questions related to stroke


If your answer not applicable, then please go straight to section 4: Feet conditions

Section 4: Feet conditions

Do you suffer with any of these feet conditions?
Do you use and of these foot care products?

Section 5: Mobility problems

Do you have any mobility difficulties?

Section 6: Amputations

Do you have upper limb absence on one or both sides of your body?
How did your limb absence occur? (Tick all that apply)
What level of limb absence do you have? (If this differs on each side please select 2 options)
What type of prosthesis do you have? (Tick all that apply)

Section 7: Other comments

Section 8: Consent

* I confirm that I have read the ‘Participant Information Sheet’ and agree for my details being included on the register for the purposes mentioned in there
Click here to read the Participant Information Sheet

Security key
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